| NPI | 1245415785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYFORD GARY JOHNSON Chief Executive Officer 423-283-1003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0556056) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |